| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $451.75 | $451.75 | $2,290.00 | |
Medica
| Facility | $552.35 | $685.04 | $1,080.92 | |
Midlands
| Facility | $832.20 | $1,107.43 | $1,969.98 | |
Sanford Health Plan
| Professional | $450.02 | $704.93 | $890.13 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |